HomeMy WebLinkAboutPermit EL19-1041 - PROCTOR RESIDENCE - A/C POWER AND RECEPTACLEThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL19-1041
PROCTOR RESIDENCE
4626 S 150TH ST
THE ABOVE MENTIONED
Page #
DIGITAL
Code
RECORDS
PERMIT FILE INCLUDES
Exemption
(DR) EXEMPTION LOG
THE FOLLOWING REDACTED INFORMATION
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numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
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statute.
Redactions contain Credit card numbers, debit
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expiration dates, or bank or other financial
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42.56.230(5)
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42.56.070(1)
PROCTOR RESIDENCE
4626 S 150T" ST
ELI 9-1041
Parcel No:
Address:
City of Tukwila
t of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431'3670
Inspection Request Line: 206'438'9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
0042000234 Permit Number: EL19-1041
4626 S 150TH ST
Project Name: PROCTOR RESIDENCE
Issue Date: 12/16/2019
Permit Expires On: 6/13/2020
Owner:
Name:
Address;
Contact Person:
Address:
Contractor:
Name:
License No:
Lender:
Name:
Address:
JOHNSON -PROCTOR ARIZONA
4626S15UTH8T,TUKVV|LA\WA,
98188
DAVID LONGHURST
PO BOX 46410 , SEATTLE, WA,
WATTS ELECTRIC SERVICE INC
PDBOX 46410,SEATTLE, WA, 9O106
I
Phone: (206) 767-5111
Phone: (206) 767-5111
Expiration Date: 12/9/2021
DESCRIPTION OF WORK:
A/C POWER AND 110 VOLT RECEPTACLE
Valuation of single family: $70010
Valuation of rnf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $64.89
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Buliding Code Edition:
InterrationaI Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
/'
Date: |*^— \ Q/~
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance ofwork. | am authorized to sign and obtain this
deve|opme,ntpermit and a ee to t onditions attthis
�
5�natue�_—.4�.
Print Name: Difi.1
Date /
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance,or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
lnspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work 5hall be in accordance with NFPA 70 NEC, and requirements for electrical installations,
Chapter 296-46B WAC and the Washington Cities Electrical Code.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH'|mELE[TR|CAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. (01i
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 4749 56 King Co
Number:
Tenant Name: P 12.( New Tenant: 0 Yes 0 ..No
Floor:
PROPERTY OWNER
Name:
(/'et‘i
Name:
Address:
Address: 1 2...o
so , /3-z,
9-1kA-gft7sale-:
City:
-71AtGo) i G A•
State:,,o_
Zip:la
CONTACT PERSON - person receiving all project
communication
Name:
(/'et‘i
Address:
City: 5& -yr. State: WA-. Zip: 93/O 6
City:
City:
9-1kA-gft7sale-:
Zip:
Phone:
Fax:
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Namew4.cts
Address/be LAI ,.././ 0
City: 5& -yr. State: WA-. Zip: 93/O 6
Phoney, '767 s -t / I Fax:
Contr Reg No.kiA_Tr.. 5 /-71, 0 je...p Date: 1211/2
(
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 70).
Scope of Work (please provide detailed information): /c__ PC
Will service be altered? EJ Yes
Adding more than 50 amps? LJ Yes
Type of Use:
Type of work:
El New 0 Addition 0 Service Change *Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
El Puget Sound Energy 0 Seattle City Light
W:Werinit CenterkApplications-HandoutsWennit Applications \PDFAElectrical Permit Application Revised 1-17- 19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $180.00
(including an attached garage)
0 Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $120.00
(no added/altered circuits)
0 Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
0 Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions ....... ......... ........ $11.00 ea
Each ride and generator truck $11.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDINGOWNER OR EL CTRICA TRACTOR:
Signature:
Print Name: 5ftii 40 16t (-W—
Mailing Address: /94 14 WO
Date: a/677q
Day Telephone: C9-4, 71, 7 S7 f
City
W:Wenssit Center Applications-Handouts1Pennit ApplicationsTOFsElectrical Permit Application Revised I -17-IRdoca
State Zip
Page 2 of 2
Receipt Number
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$64.89
EL19-1041. Address: 4626 S 150TH ST
Apn: 0042000234
$64.89
Credit Card Fee
$1.89
Credit Card Fee
R000.369.908.00.00
0.00
$1.89
ELECTRICAL
$60.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$60.00
TECHNOLOGY FEE
$3.00
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R19305
R000.322.900.04.00
0.00
$3.00
$64.89
Date Paid: Monday, December 16, 2019
Paid By: DAVID LONGHURST
Pay Method: CREDIT CARD 00939G
Printad• narornhpr 1 ?Mg 1.51 PM 1 of 1
hen
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206'4]]'1870
CITY OF TUKWILA
0017340000802374404580
Date: 12/16/2019 01:50:31 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********9301 K
TRAN AMOUNT: $64.89
APPROVAL CD: 009396
RECORD #: 000
CLERK ID: Bill
X
{CARDHOLDER'S SIGNATURE)
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukvvila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
AP crc-9
Type of nspec on:
Address:
A oe
Date Called:
Specia 1 s uc .ns:
Date Wanted:
a.rn.
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval
nspec
Ei REtNSPECTIOt FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Mr,v1tp.,, 51o, Of,Ifoan
Labor & Industries
(https://lni.wa.q0v)
Contractors
fWATTS ELECTRIC SERVICE INC
Owner or tradesperson LONGHURST, ALICE
COLLEEN
Principals
LONGHURST, ALICE COLLEEN
LONGHURST, DAVID V, PRESIDENT
LONGHURST, MARY BETH, VICE
PRESIDENT
LONGHURST, DAVID V, AGENT
PO BOX 46410
SEATTLE, WA 98106
206-767-5111
KING County
WA UBI No. Business type
600 393 864 Corporation
License
Verify the contractor's active registration license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
WATTSES1760K
Effective — expiration
09/12/1983— 12/09/2021
Designated administrator
LONGHURST, DAVID V
Active
Meets current requirements.
Active
Meets current requirements.
License type License no.
Master Electrician LONGHDV964K5
Bond
MERCHANTS BONDING CO (MUTUAL)
Bond account no
WA11358
$4,000.00
Received by L&I Effective date
06/30/2005 11/19/2004
Expiration date
Until Canceled
SiIngs
(in lieu of bond) $4,000.00
Received by L&I Effective date
07/21/1994
Release date Impaired date
N/A N/A
Savings account ID
(in lieu of bond) $4,000.00
Received by L&I Effective date
06/30/1987
Release date Impaired dale
N/A N/A